Active NPI
Matthew Goodwin, MA, LMHCA
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1588216352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60946267
- Practice address
- 56 Mounds Blvd
Saint Paul, MN 55106-6322 - Phone
- (206) 369-1070
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60946267 | WA | Primary |
Addresses
Primary practice location
56 Mounds Blvd
Saint Paul, MN 55106-6322
Mailing address
56 Mounds Blvd
Saint Paul, MN 55106-6322
Phone (206) 369-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60946267 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1588216352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MOUNDS BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551066322",
"telephone_number": "206-369-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MOUNDS BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551066322",
"telephone_number": "206-369-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "MATTHEW",
"credential": "MA, LMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60946267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.